CMS Price Transparency Data

Hospital observation (per hour)

Facility: Lafayette Regional Health Center

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $51
Cash Discount Price: $119
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Lafayette Regional Health Center is $51. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 1500 State Street, Lexington, MO.

Cash / Self-Pay

$119

Average discount available for prompt cash payment at this facility.

Insurance Median

$51

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Medicaid / KanCare	$5	N/A
Home State Health Plan	$5	N/A
Amerigroup	$5	N/A
Unicare	$5	N/A
Aetna	$5 - $104	N/A
Healthyblue	$5	N/A
United	$6 - $54	N/A
Ambetter / Centene	$22	N/A
Universal Healthcare	$31	N/A
Humana	$40 - $51	N/A
Blue Cross Blue Shield	$45 - $76	N/A
Oscar	$60	N/A
Oha Network	$60	N/A
Cigna	$68 - $85	N/A
Wppa Providrs Care Network	$90	N/A
Multiplan	$93	N/A
Coventry Kc Mo	$95	N/A
Coventry	$95	N/A
Corvel Corporation	$101	N/A
Cco, Inc.	$101	N/A
Focus Healthcare Mgmt, Inc	$107	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $119.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0378.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lafayette Regional Health Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0378.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.